Postoperative pelvic pain: An imaging approach

H Farah, Nicolas Laurent, J. Phalippou, Marc Bazot, Géraldine Giraudet, T Serb, E. Poncelet
In: Diagnostic and Interventional Imaging · 2015 · vol. 96(10) , pp. 1065–1075 · doi:10.1016/j.diii.2015.07.008 · PMID:26342531 · W1762994167
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This paper outlines an imaging approach for diagnosing and managing postoperative pelvic pain, focusing on identifying common etiologies.

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Abstract

Postoperative pelvic pain after gynecological surgery is a readily detected but unspecific sign of complication. Imaging as a complement to physical examination helps establish the etiological diagnosis. In the context of emergency surgery, vascular, urinary and digestive injuries constitute the most frequent intraoperative complications. During the follow-up of patients who had undergone pelvic surgery, imaging should be performed to detect recurrent disease, postoperative fibrosis, adhesions and more specific complications related to prosthetic material. Current guidelines recommend using pelvic ultrasonography as the first line imaging modality whereas the use of pelvic computed tomography and/or magnetic resonance imaging should be restricted to specific situations, depending on local availability of equipment and suspected disease.

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last seen: 2026-06-10T17:14:06.276822+00:00
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